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Case Reports
. 2011 Nov 8:2011:bcr0920114825.
doi: 10.1136/bcr.09.2011.4825.

Reversible cushing dilated cardiomyopathy mimicking peripartum cardiomyopathy with successful subsequent pregnancy

Rashed Al Banna  1 , Aysha Husain, Jalila Al Aali, Khalid Ebrahim, Abdulaziz Mohammed
Affiliations
Case Reports

Reversible cushing dilated cardiomyopathy mimicking peripartum cardiomyopathy with successful subsequent pregnancy

Rashed Al Banna et al. BMJ Case Rep. .

Abstract

A 29-year-old lady G4P3A0 has been admitted in her last trimester with features of peripartum cardiomyopathy. She was treated accordingly with comprehensive antifailure therapy. She lost follow-up but reappeared 12 weeks later with further deterioration of her heart failure, severe depression and osteoporotic multiple lumbar fractures. She turned to be having Cushing syndrome secondary to adrenal adenoma. Post adrenalectomy all her symptoms subsided and her cardiac function fully recovered as shown by stress echocardiography. She reconceived with uneventful pregnancy and delivery.

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Conflict of interest statement

Competing interests None.

Figures

Figure 1
Figure 1
A homogenous right adrenal mass with low attenuation on CT abdomen.
Figure 2
Figure 2
T1 weighted MRI of the lumbar spine showing multiple fractures.
Figure 3
Figure 3
X-ray lateral view of lumbar spine post surgery.
See this image and copyright information in PMC

References

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